JEFFREY MICHAEL PERINOVIC (NPI# 1689902074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689902074 |
| Entity Type | Individual |
| Full Name | JEFFREY MICHAEL PERINOVIC |
| Credential | RN |
| Practice Address |
1501 Airport Rd Waukesha WI 53188-2461 |
| Mailing Address |
500 Riverview Ave Waukesha WI 53188-3632 |
| Practice Telephone | 2625487980 |
| Mailing Telephone | 2625487954 |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
109513 | WI | Nursing Service Providers |
| Street Address |
1501 AIRPORT RD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629043765 | Shara Grover | Psychiatry & Neurology | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2006-02-22 |
| 1952930380 | Shane Bunek | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2020-04-07 |
| 1700415155 | Olga Santana | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2020-04-07 |
| 1265066013 | Pamela Valnick | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2020-03-02 |
| 1356974836 | Elizabeth Stenson | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2020-02-13 |
| 1306486295 | Mary Seaman | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2020-01-09 |
| 1619532918 | Allen Fakler | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2019-05-02 |
| 1356800882 | Joy Nicole Schiesl | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2019-03-14 |
| 1558829085 | Angelica L Smith | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2019-03-04 |
| 1336603018 | Anne Margaret Horbinski | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2019-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619039021 | Charlotte Gladbach | Registered Nurse | 1501 Airport Road, Waukesha, WI 53188 | 2006-12-14 |
| 1619123429 | Dorothy Hahn | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2008-08-12 |
| 1992869499 | Gail A Eichenseer | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2006-12-20 |
| 1952463440 | Martha Jacobson | Registered Nurse | 1501 Airport Rd, 500 Riverview Ave., Waukesha, WI 53188-2461 | 2006-12-14 |
| 1316009533 | Elizabeth Ann Primasing | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2006-12-14 |
| 1427119460 | Karen L. Jansen | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2006-12-13 |
| 1528086220 | David J Rohde | Registered Nurse | 2717 N Grandview Blvd, Suite 202, Waukesha, WI 53188-1672 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043344146 | Bell Therapy Csp | Registered Nurse | 5500 8th Ave, Kenosha, WI 53140-3700 | 2007-03-14 |
| 1053923664 | Ashley Primley | Registered Nurse | 2500 Hall Ave, Marinette, WI 54143-1655 | 2020-08-17 |
| 1366089658 | Maria Michelle Watson | Registered Nurse | 151 E Badger Rd Ste A, Madison, WI 53713-2726 | 2019-12-05 |
| 1396391728 | Briann N. Modos | Registered Nurse | 903 Mineral Point Ave, Janesville, WI 53548-2970 | 2019-08-12 |
| 1366004442 | Deanna Lynn Kapitzke | Registered Nurse | 1505 North Drive, Winnebago, WI 54985-0016 | 2019-06-28 |
| 1154825529 | Johanna Halsted | Registered Nurse | 49 Kessel Ct, Madison, WI 53711-6200 | 2018-03-21 |
| 1588061436 | Shari Stolte | Registered Nurse | 505 Broadway St, Baraboo, WI 53913-2183 | 2014-11-20 |
| 1073917654 | Dan Powell | Registered Nurse | 2500 Hall Ave, Suitei B, Marinette, WI 54143-1655 | 2014-10-10 |
| 1932502325 | Andrew John Sievila | Registered Nurse | 2448 S 102nd St, Suite 200, West Allis, WI 53227-2466 | 2014-09-30 |
| 1447580410 | Valerie Jean Spanjers | Registered Nurse | 808 Main St E, Menomonie, WI 54751-2735 | 2010-01-13 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.